Individual
LORI D. WITCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
615 SEVENTH AVE, BOWLING GREEN, KY 42101
(270) 783-3573
Mailing address
1709 BRIAR CIR, BOWLING GREEN, KY 42103-6222
(270) 783-0190
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36936
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64044571
—
KY
Enumeration date
12/15/2006
Last updated
01/21/2010
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